Okaloosa County BOCC — January 6, 2015 — Fiscal Year 2015 CERTS & ASSURANCES SIGNATURE PAGES — reading text

FEDERAL FISCAL YEAR 2015 CERTIFICATIONS AND ASSURANCES FOR FEDERAL TRANSIT ADMINISTRATION ASSISTANCE PROGRAMS (Signature pages alternative to providing Certifications and Assurances in TEAM-Web) Name of Applicant: ___Okaloosa County Board of County Commissioners_______________________________ The Applicant agrees to comply with applicable provisions of Groups 01 – 24. ___X___ OR The Applicant agrees to comply with applicable provisions of the Groups it has selected: FEDERAL FISCAL YEAR 2015 FTA CERTIFICATIONS AND ASSURANCES SIGNATURE PAGE (Required of all Applicants for FTA funding and all FTA Grantees with an active Capital or Formula Project) Group Description 01. Required Certifications and Assurances for Each Applicant. ______ 02. Lobbying. ______ 03. Procurement and Procurement Systems. ______ 04. Private Sector Protections. ______ 05. Rolling Stock Reviews and Bus Testing. ______ 06. Demand Responsive Service. ______ 07. Intelligent Transportation Systems. ______ 08. Interest and Financing Costs and Acquisition of Capital Assets by Lease. ______ 09. Transit Asset Management Plan and Public Transportation Agency Safety Plan. ______ 10. Alcohol and Controlled Substances Testing. ______ 11. Fixed Guideway Capital Investment Grants Program (New Starts, Small Starts, and Core Capacity) and Capital Investment Program in Effect before MAP-21 Became Effective. ______ 12. State of Good Repair Program. ______ 13. Fixed Guideway Modernization Grant Program. ______ 14. Bus and Bus Facilities Formula Grants Program and Bus and Bus-Related Equipment and Facilities Grant Program (Discretionary). ______ 15. Urbanized Area Formula Grants Programs/ Passenger Ferry Grants Program/Job Access and Reverse Commute (JARC) Formula Grant Program. ______ 16. Seniors/Elderly/Individuals with Disabilities Programs/New Freedom Program. ______ 17. Rural/Other Than Urbanized Areas/Appalachian Development/Over-the-Road Bus Accessibility Programs. ______ 18. Tribal Transit Programs (Public Transportation on Indian Reservations Programs). ______ 19. Low or No Emission/Clean Fuels Grant Programs. ______ 20. Paul S. Sarbanes Transit in Parks Program. ______ 21. State Safety Oversight Grant Program. ______ 22. Public Transportation Emergency Relief Program. ______ 23. Expedited Project Delivery Pilot Program. ______ 24. Infrastructure Finance Programs. ______ AFFIRMATION OF APPLICANT Name of the Applicant: __Okaloosa County Board of County Commissioners________________________________ Name and Relationship of the Authorized Representative: ___Nathan D. Boyles, Chairman____________________ BY SIGNING BELOW, on behalf of the Applicant, I declare that it has duly authorized me to make these Certifications and Assurances and bind its compliance. Thus, it agrees to comply with all Federal statutes and regulations, and follow applicable Federal guidance, and comply with the Certifications and Assurances as indicated on the foregoing page applicable to each application its Authorized Representative makes to the Federal Transit Administration (FTA) in Federal Fiscal Year 2015, irrespective of whether the individual that acted on his or her Applicant’s behalf continues to represent it. FTA intends that the Certifications and Assurances the Applicant selects on the other side of this document should apply to each Project for which it seeks now, or may later seek FTA funding during Federal Fiscal Year 2015. The Applicant affirms the truthfulness and accuracy of the Certifications and Assurances it has selected in the statements submitted with this document and any other submission made to FTA, and acknowledges that the Program Fraud Civil Remedies Act of 1986, 31 U.S.C. 3801 et seq., and implementing U.S. DOT regulations, “Program Fraud Civil Remedies,” 49 CFR part 31, apply to any certification, assurance or submission made to FTA. The criminal provisions of 18 U.S.C. 1001 apply to any certification, assurance, or submission made in connection with a Federal public transportation program authorized by 49 U.S.C. chapter 53 or any other statute In signing this document, I declare under penalties of perjury that the foregoing Certifications and Assurances, and any other statements made by me on behalf of the Applicant are true and accurate. Signature____________________________________________________________ Date: _________________ Name__Nathan D. Boyles, ________________________________________________________ Authorized Representative of Applicant AFFIRMATION OF APPLICANT’S ATTORNEY For (Name of Applicant): Okaloosa County Board of County Commissioners_________________________________ As the undersigned Attorney for the above named Applicant, I hereby affirm to the Applicant that it has authority under State, local, or tribal government law, as applicable, to make and comply with the Certifications and Assurances as indicated on the foregoing pages. I further affirm that, in my opinion, the Certifications and Assurances have been legally made and constitute legal and binding obligations on it. I further affirm that, to the best of my knowledge, there is no legislation or litigation pending or imminent that might adversely affect the validity of these Certifications and Assurances, or of the performance of its FTA Project or Projects. Signature____________________________________________________________ Date: _________________ Name Gregory T. Stewart _____________________________________________ Attorney for Applicant Each Applicant for FTA funding and each FTA Grantee with an active Capital or Formula Project must provide an Affirmation of Applicant’s Attorney pertaining to the Applicant’s legal capacity. The Applicant may enter its signature in lieu of the Attorney’s signature, provided the Applicant has on file this Affirmation, signed by the attorney and dated this Federal fiscal year.